03-105170V
• • 1 `
• `'n tt eevel 'pay Building •- Commercial Permit #:03 - 105170 - 00 CO
Con+nunicy Development Services
33530 1st May S
Federal Wa ,WA 98003-4210
Ph::153.661-4000 Fax.253.661.4129 Inspection request line: 253.835.3050
Project Name: MAGGIE MOO'S
Project Address: 31653 PACIFIC I-IWY S SuiteC Parcel Number:
Project Description: TI-Demising and partition walls,ducting,acoustical ceiling and restroom; plumbing and
mechanical work.
Owner Applicant Contractor Lender
13 S(',1-1 INVESTMENT PROPERTI LINN-DOUGLAS CONS I-RUCTION, LINN-DOUGLAS CONSTRUCTION, NONE
HARSCH INVESTMENT PROPERTI LINN-DOUGLAS CONSTRUCTION, LINNDCL0OPC 9/27/05
1121 SW SALMON ST PO BOX 5819 LINN-DOUGLAS CONSTRUCTION,
PORTLAND OR 97205 KENT WA 98064-5819 PO BOX 5819 NONE
Includes:
Census category 437-Comm #1 #2 _ #3 #4J
[—Occupancy Group: B
l"o rstrt ction Type. _ Type V-N --� T
[Occupancy Load — — I — — �
Floor Area(Sq.Ft
l st Floor Proposed Sq.Feet 1200 Census Category 437-Commercial alt/add
Meehanictd... ....... ,;................... Yes Number of Stories 1
Permit for Building Shell Only No Plumbing..,.. Yes
Will Certificate of Occupancy be Issued? Yes Zoning Designation... CC-F
Plumbing Fixtures
[ Description _ —__QuantitylDescription Quantity Description TQuant7]
Sinks q 2 Urinals 2 Water Heaters 1
Mechanical Fixtures
L (Description Quanti 1 Description QuantityDescription _ buanti I
Ducts [— 1 Refrigeration Systems 1 1
CONDITIONS:
All new and refaced signs require a separate sign application and review.(FWCC,Sec.22-335(g)(6))
This decision shall not waive compliance with future City of Federal Way codes,policies,or standards relating to the subject
proposal.
All fire alarm or suppression systems must be done on a seperate permit.
All electrical work must be done on a seperate permit.
All work done under this permit ARE SUBJECT TO FIELD INSPECTION.
V
I 41 r • r '• .• ♦ •
ill PERMIT EXPIRES May 17,2004. w 4a
Permit issued on November 19,2003
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Wa
Owner or agent: ' ' QP' J ) Date: 1 ( — /c -0.3
I
City of Federal Way
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building Code certifying that at
the time of issuance,this structure was in compliance with the various ordinances of the City regulating building
construction or use.This certificate is valid ONLY when endorsed by City staff_
Tenant Name: MAGGIE MOO'S Permit number: 03- 105170-00
Address: 31653 PACIFIC S SuiteC
#1 #2 #3 #4
Occupancy , ; �:,-
Construction °,� Type V-N
YP
Occupancy Load ,VN
Floor`Are t(Sq. y — '
4 x� ,it, .,r, , 0 S" '� a
HARSCH'NYE_ STM NT PROP R „" " y
Owner y��., � �-� � "1111 � ¢�
Name: HARSCH INVESTMENT PROPERTIES LLC
Address: 1121 SW SALMON ST
PORTLAND OR 97205
Building Official Date
The priority focus in the review and inspection made by the City prior to issuance of thise Certificate was on those matters which experience has shown most severely
€ affect the health and safety of the general public. Although the City has made as complete a review and inspection as is reasonably possible(within budgetary time
and personnel limitations),the City neither guarantees nor warrants to the owner/occupant or to any other person that this Certificate evidences strict compliance
with each and every ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon which it is
situated. Such compliance is the responsibility of the owner and/or occupant of the premises.
•
INSPECTION LOG
DATE ` ' INSPECTOR OK CORR/REJ AREA AND TYPE OF INSPECTION
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ZZ-o 4/ C-CEJ p/Gew.,4, o A
_ POSIS CARD ON THE FRONT OF BUILDI '� ,
Ir ' CITY OF'
O Federal Way BUI NG DIVISION - -
INSPECTION RECORD
•
INSPECTION REQUEST PHONE#: 253-835-3050
PERMIT #: 03-105170-00-CO
OWNER'S NAME: HARSCH INVESTMENT PROPERTIES LLC
SITE ADDRESS: 31653 PACIFIC S SuiteC
() FOO T INGS/SETBACKS () FOUNDATION WALL
DO NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVED
( ) DRAINAGE: Line ( ) Connection
DO NOT POUR SLAB UNTIL THE ABOVE IS APPROVED
() UNDERFLOOR FRAM G
O ROUGH PLUMBING(D+ /- Water piping I/zD/off VI/
( ) ROUGH MECHANICAL /-1' / .5-1- Q ei G,.. Gas piping
( ) SHEATHING Roof Floor
( ) SHEAR WALLS
() ELECTRICAL ROUGH-IN Ditch Cover
( ) FIRE/DRAFTSTOPS
ALL THE ABOVE MUST BE APPROVED PRIOR`TO FRAMING INSPECTION
( ) FRAMING/FIRESTOPPING jc/49:0*57(1€41C /
THE ABOVE MUST BE APPROVED PRIOR TO INSULATING OR SHEETROCKING
( ) INSULATION: Floors Walls Attic
THE ABOVE MUST BE APPROVED PRIOR TO APPLYING SHEETROCK
() WALLBOARD NAILING + () SUSPENDED CEILING(— f S 0 VCc,�/
2(„e -- U 4-C1
THE ABOVE MUS BE APPROVED PRIOR TO TAPING OR INSTALLING CEILING TILE
() ELECTRICAL FINAL (- 2 6 ..d T
d 03
( ) PLANNING FINAL
( ) PUBLIC WORKS FINAL
() FIRE FINAL / Z S d 7 .
THE ABOVE MUST BE APPROVED PRIOR TO BUILDING DEPARTMENT FINAL
() BUILDING FINAL f• Z 3--46 f Cc
DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED
, e. , ,
• -� p-. -' CONSTRUCON PERMIT APPLICATION
APPLICATION NUMBER: - ,,, ,Q„5 4 v-Q-
t�s�1`' s ' APPLICATION NUMBER -
ky`k yi' APPLICaATION NUMBER: -
**The folloltiAhg is required information-Please print(in ink)or type** 1
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
• PROPERTY INFORMATION
SITE ADDRESS: 3i 6 E 3 CI.0 t4,010 S -
/// S . ' C. ASSESSOR'S TAX/PARCEL#:Q h 2 1 Q L - .f? Lq (o
LEGAkDESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): ikl ii s. 02 t 4 lit
1 T(a+ I\. -1-1560151 CaCC -d inc I'" ?h- - ree ?rdflf (W rdi ICS 1° ,1(D J
u ., k^ Ma iv'. Q0.. -1(nb A l l®u 1 'Li\ i rig f 1YTar,�4r. i (i1n ► g
•
• PROJECT INFORMATION o
TYPE OF PROJECT(This application): �UILDING o PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL o ENGINEERING o FIRE PREVENTION SYSTEM
PROJECT _SCRIPTIOyN�(P vide ale iled d cri tion): AVS t _ w ' - ion, all') i k i.t
u -a- I t j �$� Citif t-reti biOnS i C i VI OJ) C iLiVn
A'pil- Ce nx v 6ffatil
PROJECT NAME: ryl ii 1 ' `j (S
�J
• PROJECT INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
j—lellr601 00 thrn 614 try/d'°5 (5 3)T 3 - Dam
MAILNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): a
CONTRACTOR: Ntmn
E: DAYTIME PHONE:
- e *i'+5 r r'cln 1 LLC (A-, ) ( ,g - laclic, .
MAILINGj /ADDDRESS STREET•!!II RESS;CIIT�`Y,STATE, /'; r c (� EVENING PHONE:
1 - O . s�1 1 i JoY 1+ '1v1 `C -eJsl 1 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
O1 - L04 - O0 ) ( - f
CONTRACTOR'S REGISTRATION NUMBER: /1 c,�l ^ J� //r EXPIRATION2� DATE: /�
(copy of card required) 1, I LILL 1�C, L 0 £1 O. P �d ! / l l V6.
APPLICANT: NALr —
DAYTIME PHONE:
ig4,S 1,c-bo - , LL( Via) ( 1- `6
MAILING ADDRESS(STREET ADD SS;CITY,STATE, P): EVENING PHcri,,
ONE:
R OoHIPTOP CT: c �A� ct o -6 IC (
NUMBER:
❑ARCHITECT 0 TENANT THER(DESCRIBE): C , C ( 5 ) 630 - ?.
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER o APPLICANT oQNTRACTOR
• PROJECT INFORMATION
EXISTING USE: �� '; .4t EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: J,� t 1/ PROPOSED VALUATION FOR IMPROVEMENTS: $ (QI h96
SPRINKLERED BUILDING? *ES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: o YES o NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE o TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
NEW REJSIDENTIAL CONSTRUCTION 11/Y** •
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ •
■ PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST /2,0
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
■ FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODST VE �)n.�
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( C/+1 )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTL `
GAS PIPE OUTLET(S) c - SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
• DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and
further,that I am authorized by the owner of the above premises to perform the work for which the permit application is made. I
further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in the
investigation and defense of such claim),which may be made by any person,including the undersigned,and filed against the City of
Federal Way,but only where such claim arises out of the reliance of the city,including its officers and employees,upon the accuracy
of the information suppl'•d to the city as a part of this application.
NAME/TITLE: / •'Idi-)"t-r • C.St./ �LL]Y( DATE: ( — 11-03
❑ PROPERTY OWNER ❑ APPL CANT " CO RACTOR
FOR OFFICE USE ONLY:
a NEW ❑ADDITION 0 ALTERATION a REPAIR TENANT IMPROVEMENT
CENSUS CODE: LOT SMEs
ZONING DESIGNATION: BUILDING SHELL ONLY? 0YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? 0 YES ❑ NO
SEGTItaN TOWNSHIP; RANGE NOV„ADDRESS REQUIRED? ❑:YES ❑ NO
PLATTED..LOT?, 0 YES Ia NO CHANGE OF USE? to YES o NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.citvoffederalway.com